Quality and Safety for our Patients – our Basic Goal
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Quality and Safety for our Patients – our Basic Goal. The international conference organized by The Association of Companies Health Insurance Funds, Czech Republic (SZP CR) together with Association Internationale de la Mutualité (AIM) a nd Joint Commission International (JCI)

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Quality and safety for our patients our basic goal

Quality and Safety for our Patients – our Basic Goal

  • The international conference organized by The Association of Companies Health Insurance Funds, Czech Republic

  • (SZP CR) together with

  • Association Internationale de la Mutualité (AIM) and

  • Joint Commission International (JCI)

    Under the aegis of: the Ministry of Health Czech Republic.

    On the occasion of CZ EU Presidency.

    Held in Prague on12 -13 March, 2009 .


Quality and safety for our patients our basic goal

Quality and Safety for our Patients – our Basic Goal

The Association of Companies Health Insurance Funds, Czech Republic

(SZP ČR)

was established on May 15, 1997 as a successor organization of the Health

Insurance Companies Association founded in 1993.

Since June 1, 2008, it has been associating eight employee health insurance funds of the Czech Republic.

In 1995, the Health Insurance Companies Association became a correspondent member of AIM and in October 2002, the Association was adopted as a full member of AIM

SZP ČR covers 40 per cent of the population, i.e. about 4 million

insured people.


Quality and safety for our patients our basic goal

Quality and Safety for our Patients – our Basic Goal

Joint Commission International (JCI) was established in 1997 as a division

of Joint Commission Resources, Inc. (JCR), a private, not-for-profit affiliate

of The Joint Commission.

JCI extends the Joint Commission’s mission worldwide

by assisting international health care organizations, public health agencies,

health ministries and others to improve the quality and safety of patient care

in more than 80 countries.


Quality and safety for our patients our basic goal

Quality and Safety for our Patients – our Basic Goal

Association Internationale de la Mutualité (AIM)

is a grouping of autonomous health insurance and social protection bodies.

AIM serves its members by representing their different interests in diverse

gremia and fora and is seen as the member‘s link to governments, non-

-governmental organizations and stakeholders in the field of social and health

services and as the spokesman of the health and social mutual societies.

AIM associates members from all over the world.

Established in 1950 .


Quality and safety for our patients our basic goal

Quality and Safety for our Patients – our Basic Goal

Number of participants - 113.

Number of attending countries – 9 – USA, Morocco, Slovakia, Turkey, Hungary, Czech Republic, Belgium, Denmark, theNetherlands.

The participants were health care providers, health insurance companies, professional associations, patient´s associations, state bodies and organizations.


Quality and safety for our patients our basic goal

Quality and Safety for our Patients – our Basic Goal

Topics

Up-to-date Information on Public Health Insurance Systems in AIM Member States.

Up-to-date information on Public Health Insurance System in the Czech Republic.

Results of Quality Monitoring in the Czech Republic.

Special Contracting of Healthcare in Employee Health Insurance Companies.

Quality of Dutch Healthcare and the Role of Health Insurers.

Introduction of Joint Commission International and WHO Collaborating Centre on Patient Safety Solutions .

Joint Commission International Standards and Survey Process .

Joint CommissionInternational's Essentials of Healthcare Quality and Patient Safety.

Practical Experience.


Quality and safety for our patients our basic goal

Structure of Bodies in Social Securitysystem – Czech Republic

Ministry of Labour and Social Affairs (MoLSA)

central body of the state administration responsible for social security

Ministry of Health

Employment Services Administration

Organizational division of MoLSA

Health insurance companies -

independent bodies

Employer

Czech Social Security Administration

State administration body

governed by MoLSA

Labour Offices

RESPONSIBLE

Unemployment benefits

benefits in kind (health care)

Sickness and maternity cash benefits

Family benefits

Birth grants

Funeral grants

Cash benefits in case of working accident or occupational disease - compensatorydamages

District Authorities

state administration bodies - governed by Min. of Interior

Pensions

Co-operate in soc. issues

Private insurance companies – obligatory liability insurance of employers

Ministry of Defence

special unit

Ministry of Justice special unit

Ministry ofFinance

special unit

Ministry of Interior

special unit

Special categories: army, prison and courts guard, custom officials, police


Quality and safety for our patients our basic goal

Main Areas of Healthcare Quality Improvement

  • Contract-based guarantee of quality and accessibility

    -continuous improvement of doctor´s qualification

    - office hours (opening hours)

    - complex effect assessment

    - projects with managed care elements

  • Management quality certificates

  • Evaluation of treatment results in comparison with other healthcare institutions

  • Development of tools describing and evaluating the production of DRG medical performance, list of medical performances

    NRCHealthcareHealth Insurance

    National Referenceinstitutions´Companies

    Centrerepresentatives

    Ministry of Health


Quality and safety for our patients our basic goal

Healthcare Quality

  • Good quality from the patient´s perspective

    • accessibility in time

      in place

    • quality of treatment process organization

    • accompanying services and medical staff and doctors´ approach

  • Good quality from the doctor´s perspective

    • organization of healthcare institutions‘ work - „ISO 9000“ - certificates

    • quality measurement using the statistical results and treatment parameters in comparison with other healthcare institutions

    • quality measurement using questionnaire surveys

  • Good quality from the payer´s perspective

    • proved results – NRC since 2007

    • level of professional education and proved qualifications increase (gradually since 2008)

    • adherence to treatment accessibility and organization parameters

    • specialized accredited centres – forum of professionals – joint activity of the Ministry of Health and NRC

    • treatment standards


Quality and safety for our patients our basic goal

Thank you for your attention.

Ing. Ladislav Friedrich CSc.

info @ szpcr.cz


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